Presentation
Lower abdominal pain, more on right. Raised inflammatory markers despite having been on cefuroxime for several days for a urinary tract infection. No fever or shivers.
Patient Data
Age: 25 years
Gender: Female
From the case:
Terminal ileal diverticulitis
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The caecum curves upward, wherefore the appendix originates cranial to the ileocaecal valve.
Case Discussion
Ileal diverticulitis with perforation in a young woman, a very rare diagnosis. It is quite possible that had she undergone ultrasound imaging, the diagnosis would have been delayed.
She received antibiotic treatment and recovered uneventfully.